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The following case documentation describes the medical course of a hallux rigidus treatment. The 78-year-old patient experiences increasing pain in the metatarsophalangeal joint. She complains of shoe pressure pain and pronounced rolling pain. The surgical treatment method is arthrodesis of the metatarsophalangeal joint of the big toe with two human bone screw grafts. Dorsal view of the metatarsophalangeal joint of the big toe. The cup and cone technique is not used in this case. After the operation, further treatment is carried out in a hallux shoe for 4 weeks without weight-bearing, 2 weeks with weight-bearing.

X-ray preoperative

Hallux rigidus with subluxation in the metatarsophalangeal joint.

X-ray postoperatively

Control after arthrodesis of the MTP I joint with 2 Shark Screws (4.0mm and 4.5mm) inserted parallel from the dorsal side.

6 weeks postoperative

3 months postoperative

Very good bony consolidation recognisable. Full load since 4 weeks.

1.5 years postoperative

Bone screw graft still vaguely recognisable.

Clinical case work-up by Dr Klaus Pastl, Linz in Austria. (Documentation period 2016-2017) © surgebright GmbH

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